As a whole, serious illness is a part of medical insurance, mainly a kind of social insurance. In order to better protect seriously ill patients, our government has launched serious illness co-ordination. However, many patients and their families don't know how to make reimbursement for serious illness as a whole, and they have encountered a lot of trouble when making reimbursement, which has delayed a lot of time and wasted some money. Below, the author will explain this to all friends, hoping to help everyone.
before answering the question of how to reimburse the serious illness co-ordination, we should first make clear what materials we need besides the application for serious illness co-ordination. If it is a local urban household registration, you can pay social security in personal form at the household registration place, and go to the local social security center with your ID card, household registration book and other materials.
so, how to reimburse the serious illness as a whole? The following will be explained from the aspects of reimbursement scope, reimbursement ratio, medical treatment management and reimbursement process. The first is the scope of reimbursement: the outpatient medical expenses incurred by the insured who took anti-rejection drugs after malignant tumor radiotherapy and chemotherapy, renal dialysis and kidney transplantation after going through the examination and approval procedures for special diseases. The second is the reimbursement ratio: the reimbursement ratio is the same as hospitalization. The settlement period of outpatient special diseases is 36 days. The third is the management of medical treatment: the insured can only choose one hospital as the designated hospital for special diseases. Please use the Beijing Medical Insurance Manual when seeking medical treatment. If the unit pays the fee in full, the individual only needs to pay the individual's own expenses and the self-funded part, and the reimbursement amount of the overall fund is settled by the hospital and the district medical insurance center. The fourth is the reimbursement process: the insured person submits the documents to the unit or the social security office, and the unit declares the documents to the medical insurance center. The medical insurance center completed the audit, settlement and payment on the same day.
after understanding how to make reimbursement for serious illness as a whole, it should be clear that serious illness insurance is also very necessary. After all, although the premium of commercial insurance is higher, the amount of compensation will be relatively more. There is still a certain limit to the amount of serious illness planning. Commercial serious illness insurance is also indispensable. Ping An Insurance Mall is rich in insurance types, so you can go to the website to choose and find the insurance types that suit you, so that once you get a serious illness, you can get treatment with more peace of mind.
Further reading: How to buy insurance, which is better, and teach you how to avoid these "pits" of insurance.